3p exam answers score: 94.67%.
Which headache sign does not warrant an immediate
investigation?
Question options:
aggravated or relieved by change of position
precipitated by Valsalva maneuver
new onset after age 5
...
3p exam answers score: 94.67%.
Which headache sign does not warrant an immediate
investigation?
Question options:
aggravated or relieved by change of position
precipitated by Valsalva maneuver
new onset after age 50
relieved with use of common analgesics
Question 2
During a migraine, what happens to the cerebral arteries?
Question options:
they dilate
they constrict
they vibrate
they pulsate
Question 3
You are evaluating a 15 year old patient for bipolar disorder. His
parents tell you that he has severe mood swings, is easily
distracted, and constantly corrects his teachers. You would have
a high suspicion for bipolar if which symptom was present?
Question options:he is forgetful
he sleeps less than 4 hours nightly
he does not complete tasks
he blurts out answers in class inappropriately
Question 4
Which risk factor is not associated with breast cancer?
Question options:
use of hormone replacement therapy
personal or family history of breast cancer
postmenopausal obesity
low socioeconomic status
Question 5
A 26 year old woman with bulimia is likely to be:
Question options:
of average weight
not concerned with weight
very underweight
very overweight
Question 6What medication is used to relieve acute wheezing in a patient
with asthma?
Question options:
oral corticosteroid
short acting beta agonist
long acting beta agonist
inhaled corticosteroid
Question 7
You are evaluating an 80 year old patient for recent episodes of
incontinence and confusion. His family states that this is
unusual for him and he has become increasingly forgetful over
the past two weeks. Which medication might be responsible for
this?
Question options:
Coumadin (warfarin)
Vitamin B-12
Tagamet (cimetidine)
Altace (ramipril)
Question 8
What suggests hyperandrogenism in an adolescent female?
Question options:polycystic ovaries
high pitched voice
obesity
hirsutism
Question 9
Which is a synovial joint?
Question options:
skull
vertebral bodies of the spine
shoulder
pubic symphysis of the pelvis
Question 10
A 67 year old woman with atrial fibrillation and an ejection
fraction of 48% is on digoxin and has had normal digoxin levels
of 0.8- 2 ng/dL for the past 9 months. Today, the level is 0.4
ng/dL. What could account for this change?
Question options:
regular use of an antacid
increased exercise
weight lossdecreased creatinine clearance
Question 11
Which medication is contraindicated in a child with acute
sinusitis?
Question options:
nasal steroids
decongestants
expectorants
antihistamines
Question 12
Which best describes the lower extremity calf pain associated
with peripheral artery disease?
Question options:
electric shock
pulsating pain
sharp, stabbing pain
dull aching or cramping
Question 13
Jugular venous distention accompanied by chest pain is
associated with:
Question options:hypertension
asthma
pneumonia
heart failure
Question 14
Which immunization protects against a virus that is transmitted
through blood and body fluids and can lead to chronic liver
disease?
Question options:
Hepatitis C
Typhoid fever vaccine
Hepatitis A
Hepatitis B
Question 15
A pediatric patient has areas of scaling on the scalp with round
patches of hair loss. What is the likely diagnosis?
Question options:
alopecia areata
trichotillomania
tinea capitisseborrheic dermatitis
Question 16
Your 70 year old patient complains of a sore mouth that
prevents her from eating. On exam you note a beefy red, glossy
smooth tongue. What do you suspect?
Question options:
cheilosis, a serious disease of the mouth and oropharynx
secondary hypothyroidism
pernicious anemia due to insufficient intrinsic factor
a neurological disorder such as Parkinson's disease
Question 17
A 62 year old male presents with leg pain and occasional
numbness that is worse with ambulation and improved with
lumbar flexion. What is the likely diagnosis?
Question options:
ankylosing spondylitis
cauda equina syndrome
bursitis
spinal stenosis
Question 18
Which is not a typical symptom of late stage HIV?
Question options:lymphadenopathy of more than 3 months
persistent vomiting
night sweats
persistent, unexplained fatigue
Question 19
A pregnant patient presents for her 16 week prenatal visit. Her
blood pressure had reduced from 118/79 to 109/68. What
hemodynamic change is responsible for this?
Question options:
decrease in cardiac output
decrease in systemic vascular resistance
decrease in stroke volume
decrease in preload
Question 20
Your 62 year old patient has been taking Griseofulvin 500 mg po
BID for 3 weeks to treat tinea capitis and has only had marginal
improvement. What is your next step?
Question options:
have the patient shave his head and warn him that hair regrowth will be slow
continue the current therapy for 6-8 weeks
Add 2.5% selenium sulfide shampoo twice weekly to the regimenprescribe a short course or oral steroids
Question 21
Rapid HIV testing would be most appropriate for a patient with
complaints of:
Question options:
painful urination, dyspareunia, and penile or vaginal discharge
painful bowel movements, anal itching, and abnormal menstrual bleeding or painful and swollen tes
painful urination, lower abdominal pain, and dyspareunia
fever, headache, and lymphadenopathy
Question 22
What is a frequent side effect of SSRIs?
Question options:
sexual dysfunction
delayed response time of 2-3 weeks
anorexia
depression
Question 23
You might suspect small bowel obstruction in a patient who
complains of:
Question options:
hematemesis and bloody stoolnausea and diarrhea
vomiting and pain
indigestion and anorexia
Question 24
What finding would be suggestive of osteosarcoma in a pediatric
patient?
Question options:
pathologic fracture
pain in the affected bone
repeat fracture
apophyseal avulsion
Question 25
What clinical manifestation suggests primary syphilis?
Question options:
no symptoms
a single painless genital lesion
rash marked by red or reddish-brown penny sized lesions on the palms and soles
poor muscle coordination
Question 26
What medication is used first line for a patient with benign
positional vertigo?Question options:
pseudoephedrine
hydrochlorothiazide
promethazine
meclizine
Question 27
Which symptom is most associated with testicular torsion?
Question options:
testicular swelling
penile warts
erectile dysfunction
testicular pain
Question 28
A clinical breast exam should include palpation at the tail of
Spence. Where is this located?
Question options:
laterally across the anterior axillary fold
lower inner quadrant
lower outer quadrant
upper inner quadrantQuestion 29
Which area does not drain to the right lymph duct?
Question options:
the right leg
the right arm
the right side of the head
the right upper thorax
Question 30
Which presentation is most suspicious for penile cancer?
Question options:
a group of small, scattered vesicles
a chancre
a nontender, indurated penile nodule
papules with a variety of shapes
Question 31
What is important to consider before prescribing metronidazole
for giardiasis?
Question options
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